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Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk.
Eur J Prev Cardiol. 2016 10; 23(15):1669-76.EJ

Abstract

BACKGROUND

Public health strategies are essential to guide consumers' choices and produce a substantial population impact on cardiovascular disease risk prevention through nutrition. Our aim was to investigate the prospective association between the Food Standards Agency nutrient profiling system dietary index (FSA-NPS DI) and cardiovascular disease risk. The FSA-NPS has been proposed to serve as a basis for a five-colour nutrition label suggested in France to be put on the front of pack of food products.

METHODS AND RESULTS

A total of 6515 participants to the SU.VI.MAX cohort (1994-2007), who completed at least six 24-hour dietary records during the first two years of the study, were followed for a median of 12.4 years (25th-75th percentiles: 11.0-12.6). Multivariable Cox proportional hazards models were used to characterise the associations between FSA-NPS DI (continuous and sex-specific quartiles) and the incidence of cardiovascular diseases. Interactions with individual characteristics were tested; 181 major cardiovascular events were reported (59 myocardial infarctions, 43 strokes, 79 anginas). A higher FSA-NPS DI, characterising poorer food choices, was associated with an overall increase in cardiovascular disease risk (HRfor a 1-point increment = 1.14 (1.03-1.27); HRQ4vs.Q1 = 1.61 (1.05-2.47), Ptrend Q4-Q1 = 0.03). This association tended to be stronger in smokers (HRfor a 1-point increment = 1.39 (1.11-1.73); Pinteraction = 0.01) and those less physically active (HRfor a 1-point increment = 1.26 (1.08-1.46); Pinteraction = 0.04).

CONCLUSIONS

Our results suggest that poorer food choices, as reflected by a higher FSA-NPS DI, may be associated with a significant increase in cardiovascular risk, especially in at-risk individuals (smokers and physically inactive persons). This score could be a useful tool for public health prevention strategies.

CLINICAL TRIAL REGISTRATION

ClinicalTrials.gov identifier: NCT00272428.

Authors+Show Affiliations

Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France s.adriouch@eren.smbh.univ-paris13.fr.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France Département de Santé Publique, Hôpital Avicenne, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France Département de Santé Publique, Hôpital Avicenne, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, France.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27000099

Citation

Adriouch, Solia, et al. "Prospective Association Between a Dietary Quality Index Based On a Nutrient Profiling System and Cardiovascular Disease Risk." European Journal of Preventive Cardiology, vol. 23, no. 15, 2016, pp. 1669-76.
Adriouch S, Julia C, Kesse-Guyot E, et al. Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk. Eur J Prev Cardiol. 2016;23(15):1669-76.
Adriouch, S., Julia, C., Kesse-Guyot, E., Méjean, C., Ducrot, P., Péneau, S., Donnenfeld, M., Deschasaux, M., Menai, M., Hercberg, S., Touvier, M., & Fezeu, L. K. (2016). Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk. European Journal of Preventive Cardiology, 23(15), 1669-76. https://doi.org/10.1177/2047487316640659
Adriouch S, et al. Prospective Association Between a Dietary Quality Index Based On a Nutrient Profiling System and Cardiovascular Disease Risk. Eur J Prev Cardiol. 2016;23(15):1669-76. PubMed PMID: 27000099.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective association between a dietary quality index based on a nutrient profiling system and cardiovascular disease risk. AU - Adriouch,Solia, AU - Julia,Chantal, AU - Kesse-Guyot,Emmanuelle, AU - Méjean,Caroline, AU - Ducrot,Pauline, AU - Péneau,Sandrine, AU - Donnenfeld,Mathilde, AU - Deschasaux,Mélanie, AU - Menai,Mehdi, AU - Hercberg,Serge, AU - Touvier,Mathilde, AU - Fezeu,Léopold K, Y1 - 2016/03/21/ PY - 2016/01/18/received PY - 2016/03/03/accepted PY - 2016/3/23/entrez PY - 2016/3/24/pubmed PY - 2017/12/27/medline KW - Cardiovascular risk KW - FSA-NPS KW - nutrient profiling system KW - nutrition policy KW - prospective study SP - 1669 EP - 76 JF - European journal of preventive cardiology JO - Eur J Prev Cardiol VL - 23 IS - 15 N2 - BACKGROUND: Public health strategies are essential to guide consumers' choices and produce a substantial population impact on cardiovascular disease risk prevention through nutrition. Our aim was to investigate the prospective association between the Food Standards Agency nutrient profiling system dietary index (FSA-NPS DI) and cardiovascular disease risk. The FSA-NPS has been proposed to serve as a basis for a five-colour nutrition label suggested in France to be put on the front of pack of food products. METHODS AND RESULTS: A total of 6515 participants to the SU.VI.MAX cohort (1994-2007), who completed at least six 24-hour dietary records during the first two years of the study, were followed for a median of 12.4 years (25th-75th percentiles: 11.0-12.6). Multivariable Cox proportional hazards models were used to characterise the associations between FSA-NPS DI (continuous and sex-specific quartiles) and the incidence of cardiovascular diseases. Interactions with individual characteristics were tested; 181 major cardiovascular events were reported (59 myocardial infarctions, 43 strokes, 79 anginas). A higher FSA-NPS DI, characterising poorer food choices, was associated with an overall increase in cardiovascular disease risk (HRfor a 1-point increment = 1.14 (1.03-1.27); HRQ4vs.Q1 = 1.61 (1.05-2.47), Ptrend Q4-Q1 = 0.03). This association tended to be stronger in smokers (HRfor a 1-point increment = 1.39 (1.11-1.73); Pinteraction = 0.01) and those less physically active (HRfor a 1-point increment = 1.26 (1.08-1.46); Pinteraction = 0.04). CONCLUSIONS: Our results suggest that poorer food choices, as reflected by a higher FSA-NPS DI, may be associated with a significant increase in cardiovascular risk, especially in at-risk individuals (smokers and physically inactive persons). This score could be a useful tool for public health prevention strategies. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT00272428. SN - 2047-4881 UR - https://www.unboundmedicine.com/medline/citation/27000099/Prospective_association_between_a_dietary_quality_index_based_on_a_nutrient_profiling_system_and_cardiovascular_disease_risk_ L2 - http://journals.sagepub.com/doi/full/10.1177/2047487316640659?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -